DEBORAH HANSLER, Appellant v. LEHIGH VALLEY HOSPITAL NETWORK,
No. 14-1772
United States Court of Appeals, Third Circuit
August 19, 2015
PRECEDENTIAL
Before: AMBRO, FUENTES, and ROTH, Circuit Judges
On Appeal from the United States District Court for the Eastern District of Pennsylvania (D.C. Civ. No. 5-13-cv-03924) District Judge: Honorable James Knoll Gardner
Argued on January 13, 2015
(Filed: August 19, 2015)
Darren M. Creasy, Esq. Karyn Dobroskey Rienzi, Esq. A. James Johnston, Esq. Andrea M. Kirshenbaum, Esq. [ARGUED] Post & Schnell 1600 John F. Kennedy Boulevard Four Penn Center, 14th Floor Philadelphia, PA 19103
Glenn Guanowsky, Esq. Lehigh Valley Hospital Department of Legal Services 1200 South Cedar Crest Boulevard P.O. Box 689 Allentown, PA 18103 Counsel for Appellee
OPINION
FUENTES, Circuit Judge.
Deborah Hansler requested intermittent leave from her former employer, Lehigh Valley Health Network (“Lehigh Valley“), under the Family Medical Leave Act of 1993 (“FMLA” or the “Act“),
requesting leave for two days a week for approximately one month. As alleged in the complaint, the medical certification refers to the length of her requested leave but not the nature or duration of her condition. A few weeks later, after she took several days off work, Lehigh Valley terminated Hansler‘s employment without seeking any clarification about her medical certification, as required by law. Lehigh Valley cited excessive absences and informed her that the request for leave had been denied. Hansler sued Lehigh Valley for violations of the Medical Leave Act, and the District Court dismissed the complaint on the basis that the medical certification supporting Hansler‘s request for leave was “invalid.” We conclude that, by alleging that Lehigh Valley terminated her instead of affording her a chance to cure any deficiencies in her medical certification, Hansler has stated a claim that Lehigh Valley violated the Medical Leave Act. Accordingly, we reverse and remand for further proceedings.
I.
Hansler was hired by Lehigh Valley in 2011 to work as a technical partner. In early March 2013, Hansler began experiencing shortness of breath, nausea, and vomiting. At the time, the cause of these symptoms was unknown. On March 13, Hansler‘s physician completed a medical certification form “requesting intermittent leave at a frequency of 2 times weekly starting on March 1, 2013 and lasting for a probable duration of one month—or until
Without seeking further information about the medical certification from either Hansler or her physician, Lehigh Valley terminated Hansler at the end of her shift on March 28. The basis for Hansler‘s termination was absenteeism, including the five days she took off in March. Hansler reminded Lehigh Valley that she had requested time off under the Medical Leave Act, but Lehigh Valley informed her, for the first time, that her request had been denied. Following the last of her absences, Hansler learned of a letter dated March 26 explaining that her request for “leave of absence (FMLA) for the period of 3/1/13-3/11/13” was denied because her “condition presently does not qualify as a serious health condition under the criteria set forth by the [Medical Leave Act].” App. 45. In early April 2013, after her dismissal, Hansler received a diagnosis of diabetes and high blood pressure. She alleges that these previously undiagnosed and untreated conditions are what caused her March absences.
Hansler sued Lehigh Valley under the Medical Leave Act for interfering with her substantive rights to medical leave and for terminating her in retaliation for seeking leave. In her complaint, Hansler alleges she has chronic serious health conditions and argues that Lehigh Valley improperly denied her request for leave without providing her an opportunity to cure her medical certification. The District Court granted Lehigh Valley‘s motion to dismiss for failure to state a claim. It concluded that Hansler‘s request for leave was defective because her medical certification indicated that her condition would last only one month, but the Medical Leave Act requires that a chronic serious health condition persist for an “extended period of time.” The District Court held that because the certification showed that Hansler was not entitled to leave, Lehigh Valley was not required to afford
Hansler a cure period and was permitted to terminate Hansler for her subsequent absences. That Hansler was later diagnosed with diabetes and high blood pressure was of no consequence. According to the Court, “[a]lthough the timing of events for plaintiff was, without question unfortunate, the fact remains that her diagnosis with diabetes and high blood pressure did not occur until after her leave request was denied and she was fired by defendant.” Hansler v. Lehigh Valley Health Network, No. 13-cv-03924, 2014 WL 1281132, at *10 (E.D. Pa. Mar. 28, 2014). Hansler filed this appeal.2
II.
Congress passed the Medical Leave Act “to balance the demands of the workplace with the needs of families” and “to entitle employees to take reasonable leave for medical reasons.”
carries out these
A “serious health condition” is one that involves inpatient care in a hospital or “continuing treatment by a health care provider.”
Prior to taking leave, an employee must give her employer notice of the request for leave, “stat[ing] a qualifying reason for the needed leave.”
Significantly, the Department of Labor‘s regulations govern how employers are to respond to perceived deficiencies in employee notices generally, and in medical certifications in particular. While an employee seeking FMLA leave must “state a qualifying reason for the needed leave” and fulfill notice requirements, the employee “does not need to expressly assert rights under the Act or even mention the FMLA.”
deficiency.“).
A.
Hansler‘s first claim is that Lehigh Valley interfered with her rights under
The District Court held that Hansler was not entitled to leave or a cure period because her certification was “invalid” and “negative on its face.” The Court reasoned that while Hansler‘s certification requested leave for one month, this was not an “extended period of time,” and, therefore, her condition did not qualify as a chronic serious health condition. In other words, her certification was not merely insufficient or incomplete—it demonstrated that she did not have a chronic serious health condition.
Hansler does not argue on appeal that her certification established the “extended period of time” requirement, and
we do not decide that issue here.3 Instead, Hansler maintains she was entitled to the cure period set forth in the regulations because the certification was insufficient, rather than negative on its face. We agree.
The regulations make no reference to negative certifications, the basis on which the District Court rejected Hansler‘s claim. Instead, they provide that whenever an employer finds a certification “incomplete” or “insufficient,” the employer shall so advise the employee and provide seven days to cure the deficiencies.
presently incapacitated and would not have to work intermittently or on a reduced work schedule.” Id. at 311. The Seventh Circuit described this as a “negative certification” because a serious health condition is one that prevents an employee from performing his job, but the employee‘s physician in Stoops explicitly stated that the employee could perform his job functions. Id. at 312-13. “Where an employer . . . requests from the employee and receives a physician‘s certification that indicates that an employee‘s serious health condition does not require him to miss work, the employer may rely on that certification.” Id. at 313.
Following Stoops, several other Courts of Appeals have discussed or alluded to negative certifications. In Hoffman v. Professional Med Team, the employee, like the one in Stoops, submitted a certification
We need not decide whether in certain circumstances a medical certification may be negative because, even if we were to agree with the cases finding negative certifications, we still would not find those cases persuasive here. The certifications in those cases contained affirmative statements from the employees’ physicians that the employees would not miss any work. To qualify for FMLA leave, however, an employee must have a “serious health condition,” defined as a physical or mental condition involving either inpatient care or continuing treatment involving a period of incapacity or treatment for incapacity.
In contrast, the certification here—which requested “intermittent leave at a frequency of 2 times weekly . . . and lasting for a probable duration of one month,” App. 44—did not on its face disqualify Hansler from FMLA eligibility. Rather, because a “sufficient certification” for intermittent leave under
(rejecting argument that certification was negative where physician omitted the incapacity‘s expected duration).4
In short, we hold today simply that when a certification submitted by an employee is “vague, ambiguous, or non-responsive” (or “incomplete,” for that matter) as to any of the categories of information required under
Lehigh Valley‘s additional arguments in support of a negative certification are unavailing. It emphasizes that the Medical Leave Act is not a forward-looking statute and “does not require an employer to be clairvoyant.” Lichtenstein v. Univ. of Pittsburgh Med. Ctr., 691 F.3d 294, 303 (3d Cir. 2012) (internal citations and quotation marks omitted). According to Lehigh Valley, the short duration of Hansler‘s symptoms prior to her leave request provided no basis for it to
know that Hansler was suffering from a prolonged and chronic illness. This argument would carry more force if the issue at stake was notice. See Ross, 755 F.3d at 191-92 (explaining that to state a claim for interference, a plaintiff must give notice to the defendant of his or her intention to take leave). But no one disputes notice; Hansler provided Lehigh Valley with a certification specifically requesting leave under the Act. Thus, nothing in this opinion burdens employers with the troublesome task of predicting, on their own, the nature and trajectory of their employees’ illnesses. The relevant question here is not whether Lehigh Valley could have known Hansler was suffering from a chronic condition at the time she requested leave; instead, it is whether the certification was insufficient and/or incomplete. Receipt of an insufficient or incomplete certification triggers certain regulatory obligations on an employer that are unrelated to its understanding of the employee‘s health condition.
Similarly, Lehigh Valley maintains that Hansler‘s post-termination diagnoses of diabetes and high blood pressure foreclose her ability to establish that she had a chronic serious health condition at the time she requested leave. See Navarro v. Pfizer Corp., 261 F.3d 90, 96 (1st Cir. 2001) (explaining that operative time for determining whether a particular condition qualifies as a serious health condition is the time that leave is requested or taken). Again, this misses the point. That Hansler was diagnosed with her illnesses after she was fired does not affect the determination of whether her medical certification was insufficient.
Having concluded that Hansler plausibly alleges her certification was insufficient rather than negative, the next
question is whether she states a claim for interference under the Act. Upon receipt of her insufficient certification, Lehigh Valley was required to (1) advise Hansler that her certification was insufficient, (2) state in writing what additional information was necessary to make it sufficient, and (3) provide her with an opportunity to cure before denying her request for leave. See
Though our Court has not yet ruled on this issue, several district courts in this circuit have found interference claims following an employer‘s breach of its obligations under § 825.305 where the employee established entitlement or likely entitlement to FMLA benefits.5 The few
decisions from the Courts of Appeals suggest that qualifying employees who allege harm arising from the employers’ failure to provide a cure period may assert a cause of action for interference. See Kauffman, 426 F.3d at 886-87; Darst v. Interstate Brands Corp., 512 F.3d 903, 910 (7th Cir. 2008); Sorrell v. Rinker Materials Corp., 395 F.3d 332, 337 (6th Cir. 2005).
Moreover, we find support for an interference claim based on this Court‘s precedent concerning notice interference. In Conoshenti v. Public Service Electric & Gas Co., the plaintiff‘s claim was based on his employer failing to advise him of his substantive rights under the Act in violation of regulatory requirements.6 364 F.3d 135, 142 (3d Cir. 2004). The plaintiff there insisted that, if he had received the necessary information, “he would have been able to make an informed decision about structuring his leave and would have structured it, and his plan of recovery, in such a way as to preserve the job protection afforded by the Act.” Id. at 142-43. We held this was a viable theory of recovery, explaining that the plaintiff “will show an interference with his right to
leave under the FMLA . . . if he is able to establish that this failure to advise rendered him unable to exercise that right in a meaningful way, thereby causing injury.” Id. at 143. Put another way, we found a cause of action for notice interference in the event plaintiff was able to show prejudice as a result of the violation. Id. at 144; see also Ruder v. Pequea Valley Sch. Dist., 790 F. Supp. 2d 377, 394 (E.D. Pa. 2011) (finding interference claim where the defendant‘s failure to advise plaintiff of his eligibility to take leave “rendered him unable to exercise his rights“); Schaar v. Lehigh Valley Health Servs., Inc., 732 F. Supp. 2d 490, 496-97 (E.D. Pa. 2010) (finding interference claim where plaintiff alleged that “had she been informed that FMLA was an option for her absence, she would have taken her absence as FMLA leave“).
The logic of Conoshenti naturally extends to an employer‘s failure to comply with its regulatory obligations following receipt of an insufficient or incomplete medical certification. Just like employers must advise their employees of their rights under the Act,
Act.“).
Based on the facts alleged in the complaint, we conclude that Hansler states a claim for interference under
Not only is our conclusion dictated by precedent as well as the statutory and regulatory text, but we believe the cure period makes abundant sense in this context. Faced with nascent symptoms from a yet-to-be diagnosed condition, an employee‘s physician may need some additional time to provide the required elements of a sufficient certification,
including more specific information regarding relevant medical facts and the probable duration of the condition, the planned medical treatment, and the intermittent leave.
B.
Hansler‘s second claim is that Lehigh Valley terminated her in retaliation for seeking leave. Retaliation claims arise out of the Medical Leave Act‘s prohibition on employers “discharg[ing] or in any other manner discriminat[ing] against any individual for opposing any practice made unlawful.”
The District Court dismissed Hansler‘s retaliation claim, finding she did not make a “valid” request for leave. This conclusion flowed from our holding that “firing an employee for a valid request for FMLA leave may constitute interference with the employee‘s FMLA rights as well as retaliation against the employee.” Erdman v. Nationwide Ins. Co., 582 F.3d 500, 509 (3d Cir. 2009). The District Court reasoned that because her leave request was “premised upon the existence of a serious chronic health condition and her medical certification was a negative certification with respect to such a condition, [Hansler‘s] leave request was not a valid request entitling her to FMLA leave and, accordingly, may not form the basis for an FMLA retaliation claim.” Hansler, 2014 WL 1281132, at *13.
As we disagree with the underpinnings of this conclusion—i.e., the certification was negative and Hansler was not entitled to benefits under the Act—we hold that Hansler‘s claim should not be dismissed at this stage. Hansler alleges she attempted to invoke her right to leave, she was not advised of deficiencies in her medical certification, she was not provided a cure period, and she was fired a few weeks later as a result of her leave request. Through discovery, Hansler might be able to show that Lehigh Valley had a
retaliatory motive and that the stated reason for termination was pretextual. See Lupyan v. Corinthian Colls. Inc., 761 F.3d 314, 325-26 (3d Cir. 2014); Lichtenstein, 691 F.3d at 309-10.
III.
For the foregoing reasons, we reverse the order of the District Court and remand for further proceedings consistent with this opinion.
